Individual provider · Type 1 NPI

Chanel Pedersen

Licensed Practical Nurse · Joint Base Lewis Mcchord, WA

NPI number 1154877645 Active

Practice location

690 Barnes Blvd
Joint Base Lewis Mcchord, WA 98438-1303

Specialties and licenses

TaxonomyCodeLicense
Licensed Practical Nurse Primary 164W00000XLP60474414 (WA)

Licensed Practical Nurse: An individual with post-high school vocational training and practical experience in the provision of nursing care at a level less than that required for certification as a Registered Nurse. Requirements for education, experience, licensure, and job responsibilities vary among the states.

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About NPI 1154877645

Chanel Pedersen's National Provider Identifier is 1154877645, issued on Aug 25, 2016. The primary taxonomy on file is Licensed Practical Nurse (164W00000X), and the practice location is in Joint Base Lewis Mcchord, WA. The record was last updated on Aug 25, 2016.